National Provider Identifier [NPI]: |
1295795847 |
Last Name Of The Provider |
WEY |
First Name Of The Provider |
CHIALIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1135 116TH AVE NE |
Street Address 2 Of The Provider |
SUITE 110A |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980044623 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
687 |
Number Of Medicare Beneficiaries |
176 |
Total Submitted Charge Amount |
144807.26 |
Total Medicare Allowed Amount |
59216.86 |
Total Medicare Payment Amount |
42591.06 |
Total Medicare Standardized Payment Amount |
40601.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
2536.52 |
Total Drug Medicare AllowedAmount |
1855.02 |
Total Drug Medicare PaymentAmount |
1815.69 |
Total Drug Medicare Standardized Payment Amount |
1815.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
628 |
Number Of Medicare Beneficiaries With Medical Services |
175 |
Total Medical Submitted Charge Amount |
142270.74 |
Total Medical Medicare Allowed Amount |
57361.84 |
Total Medical Medicare Payment Amount |
40775.37 |
Total Medical Medicare Standardized Payment Amount |
38785.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
89 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
29 |
Number Of Non Hispanic White Beneficiaries |
152 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8968 |